A Case of Metastatic Renal Cell Carcinoma to the Maxillary Sinus Initially Presenting as Recurrent Epistaxis

Justin P. Mehr, Kyle A. Blum, William S. Jones, Neha Maithel, Martin J. Citardi, Steven Canfield
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引用次数: 1

Abstract

Metastatic neoplasms to the sinonasal tract are rare. Here, we report the case of a 74-year-old woman with no notable oncological history, presenting to the emergency department with a 3-week history of intermittent epistaxis. CT and MRI revealed a right-sided sinonasal tract mass with histopathological analysis revealing cells of clear cell renal cell carcinoma origin. Full-body CT revealed a 4.9-cm L renal mass for which cytoreductive nephrectomy was performed after immunotherapy. The patient experienced recurrence of the sinonasal mass 14 months from initial discovery, for which they continue to follow with our multidisciplinary cancer care team.
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一例转移至上颌窦的肾细胞癌,最初表现为复发性鼻衄
转移到鼻窦的肿瘤是罕见的。在这里,我们报告一个74岁的女性病例,没有明显的肿瘤病史,以3周的间歇性鼻出血史就诊于急诊科。CT和MRI显示右侧鼻窦炎肿块,组织病理分析显示透明细胞肾细胞癌起源细胞。全身CT显示4.9 cm L肾肿块,免疫治疗后行细胞减减性肾切除术。患者从最初发现的14个月后鼻窦肿块复发,因此他们继续跟随我们的多学科癌症护理团队。
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